• Title/Summary/Keyword: total personnel

Search Result 500, Processing Time 0.035 seconds

The Prevalence and Risk Factors of Latent Tuberculosis Infection among Health Care Workers Working in a Tertiary Hospital in South Korea

  • Park, Jae Seuk
    • Tuberculosis and Respiratory Diseases
    • /
    • 제81권4호
    • /
    • pp.274-280
    • /
    • 2018
  • Background: The risk of tuberculosis (TB) infection among health care workers (HCWs) is higher than as noted among workers in the general population. The prevalence and risk factors of TB infection among HCWs were assessed in a tertiary hospital in South Korea, resulting in a conclusion of an intermediate TB burden within the country. Methods: This cross-sectional study enrolled HCWs who underwent a QuantiFERON-TB Gold In-Tube (QFT-GIT) test to detect the presence of a latent TB infection (LTBI), in patients admitted to a tertiary hospital in South Korea in 2017. The departments of the hospital were divided into TB-related and TB-unrelated departments, which were based on the risk of exposure to TB patients. In this sense, the risk factors for LTBI, including current working in the TB-related departments, were analyzed. Results: In this case, a total of 499 HCWs (54 doctors, 365 nurses and 80 paramedical personnel) were enrolled in this study. The median age of the subjects was 31 years (range, 20-67 years), 428 (85.8%) were female, and 208 (41.7%) were working in the TB-related departments. The prevalence of LTBI was 15.8% based on the QFT-GIT. Additionally, the prevalence of experience of exposure to pre-treatment TB patents was higher among HCWs working in the TB-related departments, than among HCWs working in the TB-unrelated departments (78.8% vs. 61.9%, p<0.001). However, there was no significant difference in the prevalence of LTBI between the two groups (17.3% vs. 14.8%, p=0.458). On a review of the multivariate analysis, only the factor of age was independently associated with an increased risk of LTBI (p=0.006). Conclusion: Broadly speaking, the factor of age was associated with an increased risk of LTBI among the HCWs in South Korea. However, those workers current working in the TB-related departments was not associated with an increased risk of LTBI.

의료분쟁 판례분석 (Analysis of Medical Disputes Precedent)

  • 임복희
    • 한국콘텐츠학회논문지
    • /
    • 제10권11호
    • /
    • pp.294-303
    • /
    • 2010
  • 의료사고란 의료서비스를 제공할 경우 발생하는 예기치 않은 사고'를 말하며, 의사는 환자치료에 대한 책임을 진다. 의료분쟁은 치료를 받는 과정에서 피해를 입었다고 생각하는 환자와 환자 진료에 대한 의무를 다하지 못한 의사 개인 간의 분쟁이다. 불행하게도 실제로 의료분쟁은 상호이해를 통하거나 상호 의사소통을 통한 공무상의 접근대신에 의료분쟁소송으로 나타나고 있다. 본 연구의 배경은 의료분쟁의 판례 분석을 통하여 의료분쟁의 유사한 사례를 예방하기 위한 기초자료를 제공하기 위하여 시도되었다. 본 연구의 결과는 다음과 같다. 첫째, 의료기관 설립구분에서는 병원급이 62.9%로 가장 많았다. 둘째, 의료분쟁의 발생 원인으로는 수술이 27.8%로 가장 많았고 그다음이 주의의무 위반 20.6% 그리고 진료가 11.3%를 차지하였다. 셋째, 진료과목에 따른 평균 배상급액은 산부인과가 38,384,000원으로 가장 높았다. 결론적으로 의료분쟁을 해결하기 위한 가장 좋은 방법은 의료분쟁의 원인 자체를 예방하기 위하여 진료과정에서 보다 세심한 주의를 기울여야 할 것이다.

의과대학부속병원 의사들의 양.한방 협진에 대한 인식 (Recognition of Medical Doctors Employed to University Hospital on the Cooperative Medical System between Korean Traditional and Western Medicines)

  • 이은주;박한솔;이소영;배다정;이탁근;신현규
    • 대한한방내과학회지
    • /
    • 제33권3호
    • /
    • pp.298-305
    • /
    • 2012
  • Objectives : This study was aimed to promote the cooperative system of Korean and Western medicine in the dual health care system through a survey of physicians on recognition, problems and solution of the cooperative system. Methods : The research took place at Dongguk University Hospital from May 25 to 27, 2009 with 44 professors, residents, and interns employed by the hospital. Results : Of total 44 surveyed doctors, positive and moderate responses on the cooperative system between Korean and Western medicines were 40.9% and 43.2%, respectively. They scored it positive (62.5%) and moderate (31.3%) based on their experiences. These results can be supposed to represent the environment for the interdisciplinary medicine. Even in the interdisciplinary hospital of Korean and Western medicine, 68.2% of responders had no experience of the cooperative medical system. Expected interdisciplinary efficient departments were ordered rehabilitation medicine, neurology and orthopedics and associated with musculoskeletal disorders, the most frequent diseases treated by Korean traditional medicine. Conclusions : Korean and Western medical doctors, as medical personnel, intellectual persons as well as specialists, need a recognition and attitude to understand and respect each others' medicine. However, both groups also realize there are many complicated issues in the treatment of patients. It is difficult to require a change of Western doctors' perceptions and attitude toward Korean traditional medicine only with results of a survey. For the efficient cooperative system in the medical field, Korean medical doctors will need to study and consider specific problems mentioned by Western medicine.

Study on making tea for sensory test, quality characteristics of bitter melon

  • Lee, Sang-Chang;Kim, Dong-il
    • Journal of Evidence-Based Herbal Medicine
    • /
    • 제2권2호
    • /
    • pp.25-31
    • /
    • 2009
  • 다양(多樣)한 약이적(藥理的) 기능(機能)을 가진 고과(苦瓜)를 좀 더 간편(簡便)하게 즐길 수 있도록 대용차(代用茶)로 가공(加工)한 이번연구를 통하여 국민(國民) 건강증진(健康增)에 좀더 효과적(效果的)으로 도움이 되었으면 한다. 이번 고과(苦瓜)는 쓰고,떫은 맛, 의 대부분(大部分)을 기존의 가공법(加工法)과 전통(傳統) 제차(製茶) 및 재료(材料)의 특성(特性)에 맞게 변형(變形)한 제차(製茶)법을 통(通)하여 맛과 향(香)의 변화(變化)를 좀 더 기호(嗜好)에 맞게 변(變)하게 만들 수 있었다. 이번 연구(硏究)를 통하여 한약재(韓藥材)를 통한 대용차(代用茶)로서의 가능성(可能性)을 충분(充分)히 확인(確認)하였으며 그동안 우리나라의 차(茶) 문화(文化) 및 한약재(韓藥材)의 묘사어구(描寫語句) 및 표현(表現)여구가 부족함을 느꼈으며 이번 연구(硏究)를 통하여 체계적(體系的)인 모습을 갖추었으면 한다.

  • PDF

지리적 접근성을 이용한 도시지역 보건지소의 입지선정 (Determining the Location of Urban Health Sub-center According to Geographic Accessibility)

  • 이건세;김창엽;김용익;신영수
    • Journal of Preventive Medicine and Public Health
    • /
    • 제29권2호
    • /
    • pp.215-225
    • /
    • 1996
  • Decentralization to local governments and amending of Health Center Law are to promote the efforts of health planning at the level of local agencies. In the health facility planning, it is important to take into account that what to be built, where to be located, how far should be service area and so forth, because health facilities are immovable, and require capital as well as personnel and consumable supplies. The aim of our study, answering to the question of 'where to be located?', is to determine the best location of urban health sub-center. At the local level, planning is the matter of finding the best location of specific facilitiy, in relation to population needs. We confine the accessibility, which is basic to location planning, to geographic one. Location-Allocation Model is used to solve the problem where the location is to maximize geographic accessibility. To minimize the weighted travel distance, objective function, $R_k=\sum{\sum}a_{ij}w_{i}d_{ij}$ is used. Distances are measured indirectly by map measure-meter with 1:25,000 Suwon map, and each potential sites, 10 administrative Dongs in Kwonson Gu, Suwon, are weighted by each number of households, total population, maternal age group, child age group, old age group, Relief for the livelihood, and population/primary health clinics. We find that Kuwoon-Dong, Seodun-Dong, Seryu3-Dong, according the descending orders, are best sites which can minimize the weighted distance, and conclude that it is reasonable to determine the location of urban health sub-center among those sites.

  • PDF

고등학교 급식시설 운영실태 및 ATP Bioluminescence를 이용한 위생상태 조사연구 (Evauation of Management & Hygienic Status of High School Foodservice using ATP Bioluminescence Assay)

  • 계승희;황성희
    • 한국식품영양학회지
    • /
    • 제30권3호
    • /
    • pp.515-524
    • /
    • 2017
  • An investigation was conducted to evaluate the hygienic status of 53 high school foodservice systems in Gyeonggi province by using hygiene management guide checklist, ATP bioluminescence assay of food utensils were conducted during process. The 5 hygiene management guide checklist groups about personal hygiene, cooking facilities control, cross contamination control, cook and storage control, management control were checked by experts and had good grades but there were some inadequate behaviors on observation. Total cleaning levels were inadequate, including hand, rubber gloves, aprons, knives, food tray, machine and instruments. The possibility of cross contamination is also noted in handles for refrigerators, ovens, food dryers, hand washing. It was also noted that there were too much work on the nutritionist and cook, additional personnel need to be added. lack of space, deterioration of facilities were identified in some high school foodservice systems. ATP bioluminescence assay was conducted on surface of food facilities, ATP ranged $1,393{\pm}5,041.2RLU$ on yellow gloves, $244{\pm}258.7RLU$ on pink gloves, $3,780{\pm}11,418.6RLU$ on apron, $49,056{\pm}62,831.4RLU$ on refrigerator grip, $41,422{\pm}61,259.8RLU$ in oven, $31,407{\pm}41,344.9RLU$ on hand cleaning board.

전담간호사 제도 개선방안에 대한 통합적 연구 (A integrated study on the current status and improvement direction of physician assistant)

  • 문혜경
    • 문화기술의 융합
    • /
    • 제6권3호
    • /
    • pp.159-165
    • /
    • 2020
  • 본 연구는 PA(전담간호사)의 업무 실태를 파악하여 PA제도에 대한 정책 수립의 방향 및 근거 자료를 제공하기 위해 시도되었다. 체계적 문헌 고찰적 방법론을 통해 'PA(전담간호사, 의사보조인력)' 검색어로 KISS, 국회도서관, NDSL, RISS 등의 데이터베이스를 이용하여 국내에 출판된 논문을 검색하였고 국내 주요 일간지 11개와 의료계 전문지인 청년의사신문 등 총 12개 신문에 보도된 전담간호사 관련 주요 사건 관련 기사 15편 등 총 23편을 분석하는 연구 방법론적 융복합적 연구를 시행하였다. 8편의 논문 분석 결과, PA의 업무와 관련된 소진, 직무스트레스 및 불명확한 업무범위 및 규정 부재는 직무 만족도를 감소시킨 것으로 나타났다. 15편의 보도기사를 통해 관련 기관들의 긍정적, 부정적 의견 대립 속에 전문의료인으로서의 자격과 업무에 대한 법제화 및 교육제도 확립이 시급함을 파악하였다. 향후 PA의 활용도를 높이기 위해서는 한국 실정에 적합한 제도적 장치를 확보하고 교육프로그램을 마련하는 것이 필요하다.

치위생 교육과정 분석 (Analysis of dental hygiene curriculum of dental hygiene programs in Korea)

  • 이형숙
    • 한국치위생학회지
    • /
    • 제9권4호
    • /
    • pp.808-823
    • /
    • 2009
  • Objectives : This study was to suggest the basic data to develop the national exam contents for dental hygiene by comparing with those of other country. Methods : Several dental hygiene education course results were reviewed, and analyzed the culture subjects, basic major subjects, educational subjects, national exam contents in 3 or 4 years dental hygiene curriculum. Results : In Korea, grades of culture subjects in dental hygiene curriculum were different between 3 and 4 years education course, mean grades were 10.4, and 34.5 respectively. While there were few different between 3 and 4 years education course, mean grades were 36, and 36.5 respectively in foreign country. In Korea, grades of major subjects in dental hygiene curriculum were similar between 3 and 4 years education course as mean grades of 110, while there were different between 3 and 4 years education course, mean grades were 60 and 80 respectively in foreign country. In Korea, number of major subject was higher in 4 years(n=61) than 3 years(n=54). However, it was lower in 4 years(n=27) than in 3 years(n=33) in foreign country. Total grade number was 129 in 3 years, and 145 in 4 years in Korea, while it was 97 in 3 years, and 116 in 4 years in foreign country. By analyzing 3 years education course, culture subject was 9.5%, basic health was 11.2%, oral biology was 11.2%, clinical dentistry was 20.7%, public oral health was 10.4%, oral hygiene care was 35.9%, management of dental clinic was 9.4%, education was 2.8% in Korea. In USA, dental hygiene examination contains practice work as major part, while theory was thought of as most important things in korea. Conclusions : It is necessary to improve learning course of dental hygiene curriculum on the basis of other country's system, and then it could be possible to development of good quality's national examination contents, thus good quality of dental hygiene personnel would be turned out in Korea.

  • PDF

비정형작업 근골격계질환 위험요인의 노출평가: 일부 병원근로자에 대한 PATH-KOSHA 관찰도구 적용사례 (Exposure assessment of musculoskeletal disorder risk factors in non routinized work: An application of PATH-KOSHA observational tool to hospital workers)

  • 박정근;한영선
    • 한국산업보건학회지
    • /
    • 제19권4호
    • /
    • pp.412-422
    • /
    • 2009
  • This study was conducted to assess exposure to musculoskeletal disorder(MSD) risk factors in hospital personnel who performed non-routinized work tasks. A tool ("PATH-KOSHA" version) was newly revised from PATH(Posture, Activity, Tools and Handling) method and uploaded into a personal digital assistant(PDA). The version was used, on a basis of direct-observation, to collect PATH data at the 2 hospital settings in different regions. Job analysis was performed to get various information (e.g., work and rest time, task type) as well. The data collected were visually checked for data cleaning and stored for future data analysis. A total of 1,992 PATH observations were made for 37 hospital workers. Exposure levels varied across 18 items of the MSD risk factors. The highest percent time spent on non-neutral postures was 53% for wrist deviation, followed by 47%(pinch grip), 35%(trunk posture), 23%(neck posture), and 20%(shoulder/arm posture). The highest percent time spent among hand activity level(HAL) variables was 55% for HAL-cat2 (HAL: 3.3 - <6.7). The percent time of items with respect to both loads with more than 5kg and contact stress was less than 4%. Vibration was not exposed in the study workers. Different aspects were discussed for findings. The study results showed that wrist deviation was highest in percent time spent on awkward posture while HAL-cat2 was highest in hand repetition. The study suggests that distal upper extremity posture and HAL should be primarily addressed and controlled in non-routinized work including the hospital settings.

간호사의 감염예방 표준주의지침 지식, 태도 및 준수 정도 (Nurses' Knowledge, Attitude, and Compliance with Hospital Infection Standard Precautions)

  • 이경희;최주옥;이경수;허지안;황태윤
    • 한국병원경영학회지
    • /
    • 제19권2호
    • /
    • pp.34-43
    • /
    • 2014
  • This study was conducted to investigate the degree of nurses' knowledge, attitudes, and compliance with hospital infection standard precautions. The study subjects were nurses in a university hospital in Daegu, South Korea, and a self-administered survey was carried out using a standardized questionnaire from 1st to 15th August, 2012. A total of 187 questionnaires were used for analysis. Those who were injured by a syringe needle for the last year accounted for 29.96%, and those exposed to patients' blood or body fluid on their damaged skin/mucous membranes accounted for 26.2%. There were statistically significant differences in attitude and compliance according to safety environment for hospital infection standard precautions. The knowledge score of the subjects about standard precautions was $15.30{\pm}1.51$ on a 19 point scale and had significant difference according to the subjects' education level. The attitude score was $2.86{\pm}0.49$ on a 4 point scale and had significant difference depending on how experienced they were on the career. The compliance score was $3.41{\pm}0.38$ on a 4 point scale and had significant difference depending on their age and their experience on the career. In conclusion, it can be said that systematic and continuous practical training is required to improve compliance with standard precautions. Particularly, it is needed to provide less experienced nurses with educational opportunities along with their supervisors' ongoing attention and position personnel appropriately.

  • PDF